Read 2nd%20Q%202010%20News.pdf text version

Second Quarter

2010

The Newsletter of the California Society of Periodontists

5

president's message

By Joan otomo-Corgel, DDS, mPH, PreSiDent

advocate

The Periodontal

to teach, volunteer at dental schools, dental hygiene schools, or post-doc residencies ­ volunteer yesterday. We all need to be a part of defining our specialty. Periodontists need to teach periodontics.. 4) Be a peer reviewer. CDA requires a course every 2 years to certify you to be on peer review. Check the dates in this newsletter. This year we are embarking on a Periodontal Collaborative Program for Dental Hygienists throughout the state. CSP Regions who are interested in hosting a course should contact me [email protected] com. This 4-hour course will include topics such as "Implant maintenance", "periodontal biotypes- diagnosis and treatment planning", "period-systemic link", and "antimicrobial agents". The first course will be in Los Angeles August 28, Saturday. The second course is in San Diego on September 17, Friday. The course is for member dental hygienists and hygienists of our member's referring dentists. Thank you to Rich Kao for his vision and support from David Richards and Deb Finney in developing the course. Thank you to all of those who make our organizations strong. David Richards, editor of "The Periodontal Advocate", Mark Fagan our Webmaster, and of course, Laura Purcell who puts it all together and makes it happen. Remember, CSP is your organization. You must be our "eyes and ears". Contact your region leaders with issues of concern. The current structure and those serving is in this edition, but it is also time to develop a strategic plan for the future. Uh oh, do you feel a new committee brewing? Thank you for the privilege of serving you this year! Joan Otomo-Corgel

We are at the table and our plate is full CSP members are positioned to "REPRESENT". Members are active in CDA as trustees, delegates and at the Interdisciplinary Council, officers of dental societies, educators and on the board of the AAP. This year is the start of an upward trend. We have just had a record-breaking attendance at the annual meeting in Paradise Point featuring Drs. Tom Wilcko, James Rutkowski, and John Yagiela and membership has increased. As I gazed out at the crowd of 240+ at the luncheon, it was refreshing to see the camaraderie and laughter! We cannot place a value on "face time" with colleagues and friends in an age of twitter, texting, email and the www. Therefore, save May 21-22, 2011 for an outstanding meeting that will feature Mike McGuire and Brian Mealey with dinner in the Monterey Bay Aquarium. In 2010-2011 the CSP will be there to represent periodontics in all arenas: politics, education, research, and innovation. We are your advocates for the specialty. It is time, however, that YOU also step up to the table, if you are not there now. 1) If you are not a student mentor, please contact Laura Purcell at [email protected] and apply to mentor periodontal residents 2) If you are interested in committee work, contact the office. 3) If you have time

inside tHis issUe...

President's Message ........................................1 2010 Region Meetings ..................................2 CSP 2010-2011 Executive Council .......3 CSP 2011 Annual Meeting .........................3 Smokin'...................................................................5 Classified Ads .....................................................5 Legislative Update ...........................................7 CSP 2010 Awards ...........................................8 CSP 2010 Annual Meeting .........................9 News Update .................................................10 Peer Review .....................................................10 CSP at AAP in Hawaii ................................10 Leadership & Management .....................11 CSP New Members ....................................12 CSP RDH Collaborative Program ......12

California Society of Periodontists' Mission Statement:

"To advocate, enhance and promote excellence in the practice of periodontics in California by serving its members and assisting them in their responsibilities to the public"

Csp 2010 regiOn meetings

Region 16, under the leadership of J. Philip Marsden, BDS, MSD, held its 27th annual meeting on March 4 at the Napoli Italian Restaurant in Loma Linda. A convivial mix of seasoned practitioners, academicians, and an assortment of graduate students from the nearby Loma Linda University School of Dentistry, attended the meeting. The featured speaker, CSP President-Elect, Dr. Joan Otomo-Corgel, was well received as she discussed current periodontal issues that are pertinent at both the state and national level. "The collegiality we experience at our meetings ensures that CSP will remain not only viable, but flourishing," Marsden said, "I encourage other regional leaders to develop consistent gatherings of members." Region 1 celebrated their annual meeting on May 6th at Il Fornaio Restaurant on the Capitol Mall in Sacramento.

Front row left to right: Drs. Crivnea, Henkin, Rice, Otomo-Corgel, Kunihara, Kepic.; Back row left to right: Drs. Wasemiller, Salha, Marsden, Huston, Ms. Laura Purcell, Dr. Javadi.

Front row left to right: Drs. Dave Jolkovsky, Elaheh Samsani, Joan Otomo-Corgel, Debra Finney; Back Row left to right: Drs. Hamid Shirazi, Leland Lee, Ken Frostad, Kevin Chen, John Lewis, Rob Berrin, Judy Lane, Jonathan Szymanowski, Ash Vasanthan, Caz Szymanowski

ed CSP needs mentors for our renew this mentor/student program beginning mentor/ membership year 2010-2011. The d of six student pairing will be for a perio ewing for months with the possibility of ren Stephen an additional six months. Drs. ll be Pick ering and Matt Wetzel wi pairs to working with the mentor/student ntact insure a good match. Please co ed in Laura Purcell if you are int erest 371 ­ 4321 signing up as a mentor. Call (951) or email [email protected]

2 The Periodontal Advocate California Society of Periodontists

ANNOUNCEMENT

Region Name

Sacramento Northern California Marin/Wine Country San Francisco San Mateo/Mid-Peninsula East Bay South Bay Monterey Central Valley Santa Barbara/Ventura San Fernando Valley San Gabriel Valley Los Angeles Orange County Long Beach San Bernardino/Tri-County San Diego

Region Number

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Region Leader

David Jolkovsky, DMD, MS Brian Hollander, DDS, MS Craig Yonemura, DDS Stephen Pickering, DDS, MSD

Lloyd Nattkemper, DDS Dee Nishimine, DDS Richard Sanders, DDS Michael Abelson, DDS, MS Sanford King, DDS Al Weinstock, DDS Martyn Green, DDS Dale Johnstone, DDS Arta Farahmand, DDS J Philip Marsden, BDS, MSD Todd Nalley, DDS, MS

2010 - 2011 CSP OFFICERS & DIRECTORS

EXECUTIVE COUNCIL

PRESIDENT Joan Otomo-Corgel, DDS 1127 Wilshire Blvd., Suite 1110 Los Angeles, CA 90017 213-481-0664 213-481-2902 Fax [email protected] PRESIDENT-ELECT Thomas Kepic, DDS, MSD 250 East 7th Street, Suite D Upland, CA 91786 909-982-4169 909-981-2149 Fax [email protected] TREASURER Debra Finney, DDS, MS 1631 Creekside Drive, Ste 103 Folsom, CA 95630 916-984-8404 916-984-9308 [email protected] SECRETARY Stephen Pickering, DDS, MSD 235 N. San Mateo Drive, Suite 100 San Mateo, CA 94401 650-348-4030 650-348-7213 Fax [email protected] PAST PRESIDENT Steven Schonfeld, DDS, PhD 2773 Harris Street, Suite B Eureka, CA 95503 707-444-0488 707-444-3632 Fax [email protected] DIRECTORS Mark Fagan, DDS 1660 Willow Street, Suite 3 San Jose, CA 95125 408-269-1060 408-269-1066 Fax [email protected] Nicky Hakimi, DDS 1420 E. Roseville Parkway, Suite 230 Roseville, CA 95661 916-788-1114 916-788-1353 Fax [email protected] DIRECTORS (continued) Michael Arzouman, DDS 705 W La Veta Ave, Ste 104 Orange, CA 92868 714-744-9100 714-744-9355 Fax [email protected] Jeffery Henkin, DDS, MS 24860 Taylor St, Advanced Periodontics Loma Linda, CA 92354 909-558-4610 909-558-4801 Fax [email protected] Arta Farahmand, DDS 23326 Hawthorne Blvd., Ste 220 Torrance, CA 90505 310-373-3501 310-791-2615 Fax [email protected] P. Kevin Chen, DMD, MS 9309 Office Park Circle, Suite 110 Elk Grove, CA 95758 916-684-3379 916-684-4095 Fax [email protected] NEWSLETTER EDITOR David Richards, DDS, PhD 4060 Fourth Avenue, Suite 303 San Diego, CA 92103 619-543-0905 619-543-0422 Fax [email protected] STUDENT REPRESENTATIVE Matthew Wetzel, DDS 11301 Wilshire Blvd, Bldg 500, Dental W-160 Los Angeles, CA 90073 310-268-3776 [email protected]

Congratulations to our new Executive Council Members:

Drs. Stephen Pickering, Jeffery Henkin, Michael Arzouman and Arta Farahmand

The Periodontal Advocate California Society of Periodontists 3

Optimal Site Preservation

Bio-Oss® produced more favorable results than allogenic materials for the preservation of extraction sockets prior to dental implantation1

The long-term osteoconductive scaffold, Bio-Oss® induced more new bone deposition than allografts and exhibited increased osteoblastic activity. Rapid resorption of the allografts resulted in more fibrous connective tissue and less new bone than Bio-Oss®.

50 40

* * 23.6% 17.2% 12.0%

*

50

*

50

*

* * 45.9% 46.3%

% new bone

30 20 10 0

30 20 10 0 Bio-Oss®

25.4% 12.0%

% fibrous tissue

% residual graft

40

* *

40 30 20 10 0 Bio-Oss®

34.1%

13.7%

Bio-Oss® Rocky Mtn

Puros®

Rocky Mtn

Puros®

Rocky Mtn

Puros®

Histograms showing the percentages of (left) new bone, (middle), residual graft particles, and (right) fibrous connective tissue in the biopsy specimens. *Significant difference (P < .05) T = 4.5 months; n = 20

To learn more, please visit us online at www.osteohealth.com or call 1-800-874-2334

References: 1Lee DW, Pi SH, Lee SK, Kim EC. Comparative Histomorphometric Analysis of Extraction Sockets Healing Implanted with Bovine Xenografts, Irradiated Cancellous Allografts, and Solvent-Dehydrated Allografts in Humans. Int J Oral Maxillofac Implants 2009; 24: 609-615. Bio-Oss® is a registered trademarks of Ed. Geistlich Söhne Ag Fur Chemische Industrie and is marketed under license by Osteohealth, a Division of Luitpold Pharmaceuticals, Inc. Puros® is a registered trademark of Zimmer, Inc. ©2009 Luitpold Pharmaceuticals, Inc. OHD239 Iss. 9/2009

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The Periodontal Advocate California Society of Periodontists

smokin' By David richards, DDS, PhD, editor

At one point early in my private practice I went into the desert to treat patients. I did what we all do and organized a group of dentists to introduce myself and present recent advances in periodontology. I was asked by one member of the group about smoking and periodontitis. While in graduate school I remembered my department chair who was conducting our literature review saying that as far as the literature was concerned it didn't appear that there was a relationship between smoking and periodontitis; he told us there was but the literature was lacking. Apparently these practitioners had been hearing the same message over the years because more than one was surprised when I confidently asserted that there definitely was a link between the habit and the disease. Luckily in the intervening years I had been exposed to much of the research and literature that convincingly link the two. Given this data what should we as practitioners do about the smoking dilemma? I have decided from almost the beginning to address this situation with my smoking patients with one-on-one counseling (yes, there is a code). I say almost because at first and in graduate school and faculty practice I tried to ignore this relationship, believing that this was not a topic that I would get anywhere with nor was I particularly interested in wasting my time trying to get people not to smoke. However, sitting with patient's and talking to them about their habit and ways to kick it, I realized I may be getting more than a conscience-free surgery; I may really be making a huge difference in their life expectancy. So with my first success at getting someone to quit I was hooked! Most of the following text in this editorial was contributed by Gary Tedeschi, Ph.D., Clinical Director, California Smokers' Helpline. Tobacco use remains a leading cause of premature death among Americans. Not surprisingly, many patients seen by health care providers are tobacco users suffering from tobacco-related illness. This fact presents both a challenge and an opportunity. The challenge is to provide adequate treatment for the presenting concerns of so many tobacco-using patients. The opportunity is to help them make healthy choices to prevent such illnesses in the future. Recognizing the tremendous value of this opportunity, the California Smokers' Helpline recommends that health care providers follow the Ask, Advise, Refer intervention at every patient visit: Ask all patients if they use tobacco Advise those who do to quit Refer them to cessation resources such as the California Smokers' Helpline (1-800-NO-BUTTS) Providers who consistently follow these steps can have a dramatic impact on the prevalence of tobacco use among their patients. The Helpline has been scientifically proven by UCSD researchers to double a smoker's chance of quitting successfully. Together, the provider and the Helpline ensure that patients have the best possible chance of success. To make referral easy, providers can simply hand their patients a gold Take Charge card. These durable plastic cards look like credit cards and list the Helpline's toll-free number on the front and a brief description of services on the back. Providers can order Gold Cards and other patient materials free of charge at www.nobutts.org. Every patient interaction is a teachable moment in which patients may realize the connection between quitting and improved health, and all health care providers can help them reach this point. Another way to help patients in possibly a more proactive form is to ask tobacco users if they would like to be called by a Helpline counselor. If the patient agrees to a call from the Helpline, help him or her complete and sign the fax referral form. The Helpline must have patient consent in order to make the initial outbound call. Fax the completed and signed form to the Helpline at (858) 300-1099. After receiving the signed, completed referral form, a Helpline representative will call the patient within 3 days, making 5 attempts, based upon the availability of the patient indicated on the form. This service allows you to refer tobacco users directly to the Helpline for scientifically-proven, one-on-one behavioral counseling. This relieves the patient of having to initiate the first call for services and provides feedback on the overall disposition of your referrals because providers may request a semi-annual outcome report summarizing the number of patients referred, reached, not reached, counseled, received materials, or who refused service. Please contact Cherrie Ng, Partner Relations Coordinator, at (858) 300-1015 or [email protected] The California Smokers' Helpline (1-800-NO-BUTTS) is a free evidence-based telephone counseling service available to California residents wanting to quit tobacco. Services are available in six different languages (English, Spanish, Cantonese, Mandarin, Korean, and Vietnamese) and specialized services are also available for teens, pregnant women, and tobacco chewers. The Helpline is funded by the California Department of Public Health and First 5 California. I hope you who are too busy to provide personal one-on-one counseling will avail yourself and your patients of this service.

Classifieds

Seeking an aSSociate poSition leading to prospective partnership/ownership opportunity in the Greater San Francisco Bay Area. Clinical experience in residency as well as private practice. With a strong work ethic and exceptional patient management skills, I strive to maintain complete patient satisfaction and retention. For further correspondence, please email me: [email protected] or call (617) 869-1442. CV available upon request. i am a young periodontiSt looking to aSSociate or buy in your periodontal practice. I was a general dentist for 8 years prior to my residency program. Good communication and patient management skills. I have a Strong back ground in diagnosis, treatment planning, and treatment of non-surgical and surgical periodontal therapy. Please call 310-422-9049 or email [email protected]

The Periodontal Advocate California Society of Periodontists 5

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Perio-7.5x10.indd 1 California Society

The Periodontal Advocate of Periodontists

9/17/09 3:59:37 PM

Access-to-Care: The Department of Managed Health Care on January 20, 2010 adopted regulations establishing timely access-to-care standards. The rule requires that dental plans "ensure that contracted dental provider networks have adequate capacity and availability of licensed health care providers to offer enrollees appointments for covered dental services in accordance with the following requirements: (1) Urgent dental care within 72 hours of the time of a patient's request; (2) Non-urgent appointments set within 36 business days; (3) Preventative dental care set within 40 business days. Budget Deficit: The release of the governor's proposed budget on January 8, 2010 indicated an estimated $20 billion deficit and little room for revisiting prior cuts to programs such as Medi-Cal adult dental benefits. State dental programs have been substantially reduced or eliminated such as the Healthy Families Program. CDA advocated for the inclusion of limited Medi-Cal funding for basic restorative services such as filling for adults. Unfortunately, CDA's proposal was not adopted. CDA feels that reinstating such services will be cost-effective for the state in the long run. Infection Control: The Dental Board of California clarified in lateFebruary 2010 that a new requirement for dental assistants to complete an infection control course applies only to assistants recently hired after Jan. 1, 2010. This new educational standard is part of the comprehensive dental assisting reform legislation, AB 2637 (Eng). The new law requires dentists to ensure that dental assistants who have been employed for more than 120 days, and within one year of employment, complete one-time only, board-approved courses in infection control and California law, and that they maintain certification in basic life support. Federal COBRA Subsidy: Recent federal legislation has extended the COBRA subsidy once again for employees involuntarily terminated for reasons other than gross misconduct from Sept 1, 2008 to March 31, 2010. The federal government will pay 65 percent of COBRA premiums. The employer pays that 65 percent and is then reimbursed by the federal government though a payroll tax credit. Once an individual elects coverage, the subsidy will last for 15 months, unless the individual becomes eligible under another group health plan or Medicare. Health Care Reform: President Obama in March signed into law a national health care reform package.

LegisLative Update

By Dean aHmaD, DDS, FiCoi, DaBP

The bill does not fundamentally alter the existing private sector-based dental delivery system. Health plans participating in the state-operated "exchanges" will be required to provide oral health coverage for children younger than 21. Health plans outside the exchange will have to include oral health coverage for adults as well as children. Adults will not be required to obtain individual dental insurance though the exchanges and employers will not be required to offer it. Stand-alone dental plans are able to participate in the exchange, along with medical plans that may offer their own dental plans. It is currently unclear whether stand-alone dental plans will be allowed to continue offering pediatric coverage outside the exchange mechanism. The final bill includes an excise tax on "high-end" health plans provided by employers. A late amendment excluded dental and vision coverage which was an important victory for dentistry. Although individual adults will not be required to purchase dental coverage, the improved availability

of health insurance could enable many to more easily afford dental care/coverage. For Denti-Cal providers, the bill will expand eligibility to individuals with incomes up to 133 percent of the federal poverty level and will include childless adults for the first time. The bill also maintains the existing Children's Health Insurance Program (Healthy Families) until 2015. The bill reduces the cap on employee contributions to a flexible spending account from $3000 to $2500 per year. The bill includes expanded sealant and fluoridation efforts, increased funding for dental residency and training programs and student loan repayment programs for providers practicing in underserved areas. Dentists who employ fewer than 50 individuals will not be required to offer health insurance to their employees. The bill will also include bans on pre-existing condition exclusions and unreasonable rescission of coverage, guaranteed issue and renewability, no lifetime limits, and other provisions. Updated ­ May 10, 2010

We are now seeking CSP members to volunteer for all committees except the Nominating Committee (structure is fixed by CSP policies and procedures) and the Student Award Committee. If you are interested in volunteering, please send a short e-mail or letter to our Executive Director ([email protected]) stating: · Which committee(s) you would like to serve on · Any special interests or qualifications you have related to the committee(s) of interest ADVOCADY/DBC a. Keep track of Dental Board and Regulatory Issues b. Keep track of Legislative Activities c. Interface with CDA on these issues d. Informs Management Team of any emergent issues e. Keep Executive Council informed through reports at meetings f. 3-5 members, representing Northern and Southern halves of the state chaired by a member of the Executive Council ANNUAL MEETING a. Plans and executes the annual meeting along with the Executive Director b. Solicits sponsorship from exhibitors c. Treasurer and President-Elect are ex officio members (with votes) d. 2-4 additional members with an interest in C.E., these members continue from year to year chaired by President-Elect DENTAL CARE a. Keep abreast of third party activities b. Help membership with insurance-related issues c. Interface with AAP Insurance Consultant d. 1-2 members with interest in third party issues; if 2 members preferably one from North and one from South MEMBERSHIP a. Track membership recruitment and retention b. Suggest methods to increase recruitment and retention c. 3-5 members with representation from the North and South chaired by Secretary NOMINATING COMMITTEE a. Nominates candidates for Officer and Director position b. Composition as specified in Policies and Procedures Document PEER REVIEW a. Manage periodontal specialty participation in the CDA peer review process b. Recruit periodontists to serve as peer reviewers c. 2 members (currently Drs. G. Drury and L. Schiller) PROFESSIONAL & PUBLIC RELATIONS a. Monitor new techniques promoted to periodontists and general dentists for treatment for periodontal disease b. Develop information about these techniques c. Suggest avenues of dealing with these techniques if they are of dubious clinical value d. 1-3 members chaired by a member of the Executive Council REGION LEADERSHIP a. Coordinates regions b. Recruits region leaders c. Encourages region meetings d. All region leaders are members (ex officio with vote) chaired by a member of the Executive Council STUDENT AWARDS a. 2 sub-committees: science awards and leadership award b. Selects student award winners c. Solicits financial support for awards d. Membership on each sub-committee to continue current practices (e.g. President-Elect is ex-officio on science award subcommittee) MENTOR PROGRAM

California Society of Periodontists ­ Committees

The Periodontal Advocate California Society of Periodontists

7

Csp COngratULates OUr 2010 aWard Winners

CSP and TDIC Insurance Solutions grant this recognition to: Dr. Jae Choi (UCLA) The Robert L Merin Student Leadership Award 2010 Pictured L to R: Drs. Robert Merin, Clara Kim, Jae Choi, Neetal Smith and Erik Sahl

CSP and Meisinger, USA, LLC grant this reconition to: Dr. Clara Kim (USC) The Periodontal Regeneration, Osseous Surgery &Plastic Surgery Research Award - 2010

Pictured L to R: Drs. Clara Kim and Steven Detsch CSP and Straumann USA grant this recognition to: Dr. Evelyn T. Huaman (UCLA) The Richard Kao Basic Science Award - 2010

Pictured L to R: Dr. Evelyn Huaman and Mr. David Rodriguez CSP and G. Hartzell &Son grant this recognition to: Dr. Erik Sahl (Loma Linda University)

The Steven Detsch Clinical Research Award - 2010 Pictured L to R: Dr. Erik Sahl and Mr. Andy Hartzell CSP and Salvin Dental Specialties grant this recognition to: Dr. Justin Braga (USC)

The Implantology Research Award - 2010 Pictured L to R: Dr. Justin Braga and Mr. Tom Hodge CSP awarded to Dr. Brian Mealey - Signifying the Outstanding Contribution to the Specialty of Periodontics and Personal Commitment to the Highest Professional Standards of Dentistry. CSP awarded to Dr. E. Barrie Kenney - the CSP Educators Award 2010. CSP awarded to Dr. Harvey Freed - Signifying Outstanding Service in the Specialty and Practice of Periodontics in the State of CA.

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The Periodontal Advocate California Society of Periodontists

2010 annual meeting ­ san diego

2010 ANNUAL MEETING - SAN DIEGO

The Periodontal Advocate California Society of Periodontists

9

2010 Peer Review Calibration Schedule

1. January 29, 2010 ­ Los Angeles 2. February 12, 2010 ­ Orange Embassy Suites at LAX 9801 Airport Boulevard Los Angeles, CA 90045 Irvine Marriott 1800 Von Karman Ave. Irvine, CA 92612 Embassy Suites 1345 Treat Blvd Walnut Creek, CA 94597 San Bernardino Hilton 285 East Hospitality Lane San Bernardino, CA 92408 Four Point Sheraton 5101 California Ave. Bakersfield, CA 93309 Spring "CDA Presents" Anaheim Hilton-Ballroom Embassy Suites Mandalay Bay Hotel/Resort 2101 Mandalay Beach Rd. Oxnard, CA 93035 San Mateo County Dental Society 240 Twin Dolphin Dr Ste A Redwood City, CA 94065-1403 Los Angeles Area Location TBD Fall "CDA Presents" Location TBD Fairmont Hotel San Francisco, CA CDA Headquarters 1201 K Street Sacramento, CA 95814

3. February 26, 2010 ­ Walnut Creek 4. March 12, 2010 ­ Tri-County 5. April 23, 2010 ­ Kern - Bakersfield 6. May 15, 2010 ­ Anaheim 7. July 16, 2010 ­ Santa Barbara-Ventura 8. August 6, 2010 ­ San Mateo 9. August 13, 2010 Orthodontic Specialty Only 10. September 11, 2010 ­ San Francisco 11. October 22, 2010 Endodontist Specialty Only 12. October 29, 2010 ­ CDA

NOTICES: All component and specialty peer review committee members are required to participate in an initial and subsequent training every two years. Component and specialty chairs must also attend a calibration workshop biennially in addition to attending the CDA Annual Workshop. C.E. units are available for attendees. Complimentary Continental breakfast and lunch provided. All calibration workshop times are 9:00 a.m. to 3:00 p.m. Registration begins at 8:30 a.m. To register for any of these workshops, please contact Rebecca Whitesel at 800.232.7645 ext. 4986 or e-mail to [email protected]

Csp news Update

By laura Purcell, executive Director During the past month or so, I've been contacted by many of our 2010 Annual Meeting attendees and exhibitors. The overall consensus was that many if not all had a wonderful positive experience at Paradise Point Resort & Spa in San Diego. It is the best reward to "hear" such encouragement that we're getting the job done for our members. I want to acknowledge and thank my two wonderful assistants that helped during the event, Ms. Bobbie Halverson and Ms. KC Halverson. These two ladies worked tirelessly with me to keep on schedule and attend to each of our 230 attendees and 45 exhibit staff. Please contact me if you have any questions regarding our 2010 Annual Meeting lecture material, C.E. certificates, and /or if you wish to share thoughts about our 2010 meeting or ideas for future meetings. Email - [email protected] or call (951) 371 4321. We are in the process of dues renewal for the 2010 - 2011 CSP membership year. In order to be published in our 2010 2011 CSP Directory, please mail in your dues payment on or before August 1, 2010. If you haven't received your dues invoice or if you have a question regarding your invoice, please contact me. We have made recent modifications to our website which are improving and adapting every year. One of the most significant changes is our CSP member website "hotlink". This new service provides a tool for patients and referring dentists to look up a CSP member and then (if our member has their own website) click on the web address to be directed to the member's website.

10 The Periodontal Advocate California Society of Periodontists

California Society of Periodontists expresses their appreciation to the 2010 Exhibitors and Sponsors

DIAMOND LEVEL Astra Tech Nobel Biocare

PLATINUM LEVEL Biomet 3i, LLC Dentsply Tulsa Dental Specialties Straumann TDIC

GOLD LEVEL G. Hartzell & Son Medtronic, Inc. Osteohealth Piezosurgery Incorporated Salvin Dental Specialties, Inc.

SILVER LEVEL Ace Surgical Supply DoctorBase Exactech/Surgical Solutions Orapharma Panda Dental Software, Inc. Philips Sonicare Sunstar Butler Xemax Surgical Products Crest Oral B DoWell Dental Products Meisinger USA, LLC Osstell USA PBHS, Inc. Snoasis Medical Sybron Implant Solutions Zimmer Dental, Inc.

LeadersHip & management

Purposeful Practice of Periodontics By Thomas J. Kepic, D.D.S., M.S.D.

I have agreed to convert my lecture series on Leadership and Management in Periodontics to a series of articles for the newsletter. There is one caveat: that this is truly a work-inprogress. Each time I lecture, I gather input; I ask and am asked questions that alter the beginning focus. That process of authentic interactivity is the most powerful goal of this series. First, I want to give you the context of these ideas, rather unusual fare for a periodontal clinician of 30 years' experience. Finally, I will propose areas that I now see as vital facets of a periodontal practice's longterm purposes. As I reflect back on the early years of my periodontal practice in Upland, California, opened in 1978, my lack of expertise in leadership and management clearly led to costly mistakes. It was a time when few in all dental specialties concerned themselves with business ideas. In those days, and to some extent even today, "business" seemed to entail "the supplying and distribution of commodities." It took the man called "the father of modern management," Peter Drucker, to widen our thinking of business as exchange of valuables, or what the 1993 Webster's Collegiate Dictionary enlarges as "an immediate task or objective: a mission." For a practitioner engaged in professional healing services, there is a powerful world of difference in those two viewpoints on what that "practice" involves. An amazing window of opportunity, which was to forever alter my mindset, opened in 1980 when Peter F. Drucker walked into my Upland practice as a new patient, beginning a professional relationship that lasted 25 years. At the time of first meeting, Drucker had been Clarke Professor of Social Sciences at the Claremont Graduate School for nine years; he was in the process of publishing his 16th book, Managing in Turbulent Times. Curious about his fame, I first looked into, as I recall, Practices of Management and Managing for Results and chatted with him about some of his ideas. It was powerful and empowering stuff, but it was not aimed at periodontists. Time passed. For more than two decades I thought about how we as a profession could adapt the insights and mindsets that had proven themselves. Fortunately, a special event came along to move the idea from wishful thinking to action. In November, 2009, Claremont Graduate University's Peter F. Drucker and Masatoshi Ito Graduate School of Management began programming for a Drucker Centennial, an event celebrating Drucker's 100th birthday (he died at 95). Six speakers were chosen, all of whom had considered Peter Drucker and his numerous books mentoring to their beliefs; they were Jim Collins, Stephen Covey, Warren Bennis, Ken Blanchard, Charles Handy, and Frances Hesselbein. Attending their lectures has been seminal to my investigation into their ideas, many of which are now part of the culture, and, more specifically, into ways such ideas can be re-imagined to assist periodontists in their "business," in their complex interchange of valuables with patients, referring dentists, and staffs. Now that I've set the context, I want to move toward the most basic question we must ask: what are the purposes of our practice? In Managing for Results (1984), Drucker recalled something he'd written years before: "the purpose of a business is to create a customer." He reminded readers to ask themselves, "what is our business?" Periodontists certainly do not create patients, but as healing practitioners we want to do work that will send the patient back to us for future needs. It's neither self-evident nor simple to define our purposes. "To make a lot of money," some will answer. Yet, one of Drucker's essential ideas has been that a successful business cannot make profit the goal; the goals become the good habits from which profit will be achieved. Profit is an end, not a means, says he. Consider the areas I've identified below as facets of a periodontal practice's long-term purposes: · Diagnose and successfully treat periodontal diseases; · Give patients with various severities of periodontal disorders the reality of a pain-free mouth, using leadingedge periodontal knowledge and technologies; · Contribute to the well-being of patients as a whole by awareness of systemic interactions; · Give patients what we "say" we will give them: e.g., integrity in delivery and choices of services; · Perform work of which we can be proud: to achieve the highest possible knowledge level of periodontics; · To be a fair and responsible employer of ancillary staff: fair in compensation and policies, responsible in training, mission, and work-place culture; · Through the successful achievement of the above, to earn a professional-level living for ourselves and our families; that means that simply having studied hard to earn our periodontal credentials does not give us the right to give highest priority to ensuring that we repay our dentalschool debts ASAP, above the priorities of the best, and most cost-effective strategies for our patients. Personal integrity must be paramount. · My strongest sense of purpose is working to become a decent human being who passionately cares about the treating of periodontal disease in his patients, and who works harder to save their teeth than to place implants. Acting cumulatively, a profession without integrity fosters no respect from the public or inward pride in its practitioners, or trust within the staff. · Finally, at this point in my life, to develop abilities, knowledge, and insights that will allow me to play a mentoring role to upcoming young dentists, in the same way that earlier generations mentored my future. As Frances Hesselbein put it, and, I think, with relevance to our profession, "Today in the darkness of our time when we observe the lowest level of trust and the highest level of cynicism, the call for leaders who are healers and unifiers must be heard." The trustfactor is much lower now than when she made that statement. Future writings will enlarge upon the major areas that are needed to achieve our purposes and on how we can adapt the ideas of major "gurus" of leadership and management to help us all become such leaders, healers, and unifiers.

The Periodontal Advocate 11 California Society of Periodontists

CSP would like to welcome our newest members for the 2010 - 2011 membership year. Juliana Carvalho, DDS - Active William Cho, DDS - Active James Choi, DDS - Active James Chou, DDS - Active Mohamed Hassan, DDS, MS - Active Ash Vasanthan, DDS, MS - Active Oleg Zusin, DDS, MS - Active Justin Braga, DDS, MS - First Year In Practice Eric Driver, DDS - First Year in Practice Richard Koh, DDS - First Year in Practice Mihir Shah, DDS - Student David Yu, DMD - Student

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California Society of Periodontists Presents: CSP 2010 PERIO-HYGIENE COLLABORATIVE TOPICS TO BE COVERED ARE: GINGIVAL BIOTYPES PERIODONTAL SYSTEMIC LINK MAINTENANCE OF DENTAL IMPLANTS PROGNOSIS, A NEW PARADIGM FOR A NEW ERA APPROPRIATE USE OF LOCALIZED & SYSTEMIC ANTIBIOTICS

4 C.E. CREDITS

8:00 AM TO 12:00 PM Saturday August 28, 2010 - Los Angeles 8:00 am - 12:00 pm Mosley Salvatori Conference Ctr Friday September 17, 2010 - San Diego 8:00 am - 12:00 pm Scottish Rite Event Center

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